Individual
DR. LAUREN BROOKE DIBENEDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
497 MAIN ST, DWORKIN, STEIN AND LERMAN DENTAL GROUP, ANSONIA, CT 06401-2308
(203) 735-4701
Mailing address
497 MAIN STREET, DWORKIN, STEIN AND LERMAN DENTAL GROUP, ANSONIA, CT 06401
(203) 735-4701
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
010286
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2009
Last updated
10/14/2011
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